CLUSTER B dramatic, emotional, erratic CLUSTER A odd & eccentric personality disorders CLUSTER C anxious & fearful

personality disorders pervasive, enduring, inflexible patterns of thinking, feeling, behaving differs from what is expected of people recognizable in adolescence or early adulthood leads to social & occupational problems difficult to treat no insight; fails to link their problems w/ their inflexible personality 10% prevalence (not like the sudden change of Axis I disorders)

paranoid PD Distrust & suspiciousness of others. 4+: suspects others are exploiting, harming, or deceiving her/him preoccupied w/ doubts of loyalty or trustworthiness reluctant to confide in others for fear info will be used maliciously against her/him reads hidden demeaning or threatening meanings in remarks or events bears grudges perceives attacks on reputation & quick to counter attack suspicions of fidelity of spouse or sex partner Cluster A: Odd & Eccentric

paranoid PD “on guard” excessively self-sufficient & autonomous blames other for her/his shortcomings may engage in frequent lawsuits during high stress, brief psychosis possible Cluster A: Odd & Eccentric MISC

schizoid PD Detachment from social relationships & restricted emotion. 4+: does not enjoy close relationships (including family) chooses solitary activities little interest in sex w/ another person takes pleasure in few, if any, activities indifferent to praise or criticism shows emotional coldness, detachment, or flat affect Cluster A: Odd & Eccentric

schizoid PD Cluster A: Odd & Eccentric parents of autistic children have elevated % of schizoid PD prefers mechanical or abstract tasks (e.g. computer or math games) rarely reciprocates gestures (e.g. smiles, nods) seeks jobs w/ little or no contact w/ others MISC

schizotypal PD Social/interpersonal deficits, cognitive or perceptual distortions, & eccentricities of behavior. 5+: ideas of reference odd beliefs or magical thinking unusual perceptual experiences odd thinking & speech paranoid ideas inappropriate or constricted affect odd behavior lacks close friends social anxiety based on paranoid fears Cluster A: Odd & Eccentric

antisocial PD Disregard for & violation of rights of others. 3+: repeated unlawful behavior deceitfulness (i.e. lying, aliases, conning for profit or pleasure) impulsivity or failure to plan ahead irritability or aggressiveness (repeated physical fights) reckless disregard for safety of self or others irresponsibility (can’t sustain work or honor debts) lack of remorse for hurting, mistreating, or stealing from others Cluster B: Dramatic, Emotional, or Erratic

antisocial PD Cluster B: Dramatic, Emotional, or Erratic ASPD dx criteria focuses on overt behavior rather than personality traits of PSYCHOPATHY experiences reduced anxiety…does not learn from punishments MISC

antisocial PD Cluster B: Dramatic, Emotional, or Erratic TRAITS OF PSYCHOPATHY superficial charm grandiose sense of self-worth need for stimulation conning & manipulative lack of empathy, remorse, guilt pathological lying

borderline PD Instability of relationships, self-image, & emotion + impulsivity. 5+: frantic efforts to avoid real or imaged abandonment unstable & intense relationships (idealization vs. devaluation) unstable self-image impulsivity suicidal behavior, gestures, threats or self-mutilation emotional instability feelings of emptiness intense anger stress-related paranoia or dissociative symptoms Cluster B: Dramatic, Emotional, or Erratic

histrionic PD Excessive emotionality & attn seeking. 5+: uncomfortable in situations when s/he isn’t center of attention inappropriate seductive or provocative behavior rapidly shifting expression of emotions uses physical appearance to draw attn to self speech is excessively impressionistic but lacks detail dramatic, theatrical, exaggerated emotion changes appearance, opinions, beliefs due to others considers relationships more intimate than really is Cluster B: Dramatic, Emotional, or Erratic

narcissistic PD Grandiosity, need for admiration, lack of empathy. 5+: grandiose sense of importance preoccupied w/ fantasies of unlimited success, power, brilliance, beauty, or ideal love believes s/he is special & should only associate w/ high-status requires excessive admiration has sense of entitlement exploitative lacks empathy envious of others & believes others or envious of her/him arrogant Cluster B: Dramatic, Emotional, or Erratic

dependent PD Needs to be taken care of, submissive & clinging, fear of separation. 5+: can’t make everyday decisions w/o advice from others needs others to assume responsibility for most areas of her/his life can’t disagree for fear of loss of support or approval can’t initiate projects or do things on own goes to excessive lengths to obtain support to point of volunteering to do unpleasant things feels helpless when alone urgently seeks replacement relationship when one ends preoccupied w/ fears of being left to care for self Cluster C: Anxious & Fearful

obsessive-compulsive PD Preoccupation w/ orderliness, perfectionism, & mental/social control at expense of flexibility, openness, & efficiency. 4+: preoccupied w/ details, rules, lists, order, organization, or schedules to extent that point of activity is lost perfectionism that interferes w/ task completion excessively devoted to work to exclusion of leisure & friends overconscientious & inflexible about morals, ethics, values unable to discard worn-out objects w/ no sentimental value adopts miserly spending style rigidity or stubborness Cluster C: Anxious & Fearful

avoidant PD Social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation. 4+: avoids occupational activities that involve significant contact because fears of criticism, disapproval, or rejection unwilling to get involved w/ people unless certain of being liked restrained in intimate relationships for fear of being shamed preoccupied w/ being criticized or rejected in social situations inhibited in new interpersonal situations due to feelings of inadequacy views self as socially inept, personally unappealing, or inferior to others reluctant to take personal risks or to engage in any new activities because may be embarrassing Cluster C: Anxious & Fearful